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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK FAKHREDEAN AMANATULLAH, MD

Active

DEREK FAKHREDEAN AMANATULLAH, MD is a Sports Medicine (Orthopaedic) healthcare provider located in STANFORD, California. NPI 1134386576 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · STANFORD, CA

Registration Details

NPI Number
1134386576
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2008 (18.042028871987 yrs)
Last Updated
Apr 23, 2024
Licenses
106870 (MN)
56793 (MN)
A105899 (CA)
A105899 (CA)

Practice Information

Address
300 PASTEUR DR
STANFORD, CA, 943052200
Browse CA providers · Browse ZIP 94305
Phone
6507234000
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in STANFORD, CA

Name Credential NPI
BRADLEY DEAN CROW MD 1811920796
JAMES IRVIN HUDDLESTON III M.D. 1619037496
WILLIAM JOSEPH MALONEY 1255487500
STUART BARRY GOODMAN MD, PHD 1669528923
MATTHEW DAVID MILLER M.D. 1093901886
DR. STEPHEN LANCE ANDERSON MD 1992956635
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.